Individual
DR. ANDY C. CHIOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 MAIN STREET, 3RD FLOOR, PEORIA, IL 61606-2037
(309) 495-0200
(309) 676-6545
Mailing address
1001 MAIN ST STE 300, PEORIA, IL 61606-2036
(309) 495-0250
(309) 495-0276
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
036098202
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098202-1
—
IL
01
—
7215166
BCBS
IL
Enumeration date
06/12/2006
Last updated
09/26/2011
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